THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
At Sara Pharmacy, we are committed to protecting your medical information. We create a record of the care and services you receive to provide you with quality care and to comply with legal requirements. This notice applies to all of the records of your care generated by the pharmacy.
We understand that medical information about you and your health is personal. We are required by law to:
The following categories describe different ways that we use and disclose medical information:
We may use medical information about you to provide you with medical treatment or services. For example, we may use your information to dispense prescription medications. We may disclose medical information about you to doctors, nurses, or other healthcare professionals who are involved in your care.
We may use and disclose medical information about you so that the treatment and services you receive at the pharmacy may be billed to and payment may be collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about a prescription you received so your health plan will pay us or reimburse you for the medication.
We may use and disclose medical information about you for pharmacy operations. These uses and disclosures are necessary to run the pharmacy and make sure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you.
We may use and disclose medical information to contact you as a reminder that you have an appointment or that a prescription is ready for pickup or needs to be refilled.
We may use or disclose medical information about you without your permission in the following circumstances:
You have the following rights regarding medical information we maintain about you:
We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in the pharmacy.
If you believe your privacy rights have been violated, you may file a complaint with the pharmacy or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
Sara Pharmacy
652 East 233rd St, Bronx, NY 10466
Phone: (718) 696-1500
Email: [email protected]
Effective Date: October 2023